Evidence map›Paper›PMID 42455322›Full record

ArticleSurgical and radiologic anatomy : SRA2026

Evaluating knowledge acquisition, confidence, and cognitive workload in immersive virtual reality anatomy education: a prospective study of medical students.

Christopher M Ahmad, Ambrose Loc Ngo, Rae-Anne Kastle, Phil Sheridan, Uyen Tam Nguyen, Melissa Zolnierz

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Article in Surgical and radiologic anatomy : SRA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Christopher M AhmadKansas City University College of Osteopathic Medicine, Kansas City, MO, USA. Christopher.ahmad@kansascity.edu.
Ambrose Loc NgoKansas City University College of Osteopathic Medicine, Kansas City, MO, USA.
Rae-Anne KastleKansas City University College of Osteopathic Medicine, Kansas City, MO, USA.
Phil SheridanKansas City University College of Osteopathic Medicine, Kansas City, MO, USA.
Uyen Tam NguyenKansas City University College of Osteopathic Medicine, Kansas City, MO, USA.
Melissa ZolnierzKansas City University College of Osteopathic Medicine, Kansas City, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmersive virtual reality (VR) allows learners to interact with anatomical structures in three dimensions, potentially improving spatial understanding compared to traditional instructional methods. While VR is increasingly incorporated into medical curricula, prospective studies evaluating both learning outcomes and experiential measures remain limited. This study aimed to evaluate the impact of a single immersive VR anatomy session on knowledge acquisition, learner confidence, cognitive workload, and perceived immersion among first-year medical students.

methodsIn this prospective educational intervention, first-year medical students at Kansas City University completed a standardized immersive VR anatomy module. Anatomy knowledge was assessed using a 20-item multiple-choice examination administered pre-session, immediately post-session, and at a 20-day follow-up. Learner confidence was measured using a 5-point Likert scale. Cognitive workload was assessed using the NASA Task Load Index (NASA-TLX), and immersion was measured using validated presence and usability items.

resultsAnatomy knowledge improved significantly from pre- to post-intervention (mean increase 7.2% points, 95% CI [3.9, 10.6], p < 0.001). However, scores declined at delayed follow-up (mean change - 15.3% points from post, 95% CI [-19.8, -10.7], p < 0.001), falling below baseline mean levels. Confidence demonstrated a significant upward shift in distribution (p = 0.018), although change in confidence was not associated with knowledge gain (p = 0.863). Cognitive workload was not significantly associated with learning outcomes, while small negative correlations were observed between knowledge gain and both presence (r = -0.31, p = 0.022) and usability (r = -0.28, p = 0.034).

conclusionImmersive VR produces significant short-term improvements in anatomy knowledge and learner confidence but does not sustain retention following a single exposure. While effective for enhancing short-term anatomy knowledge and learner engagement, these findings suggest that immersive VR may be most effective when integrated as a complementary component within a multimodal anatomy curriculum rather than used as a standalone instructional modality.

Indexed as

AnatomyEducation, Medical, UndergraduateStudents, MedicalVirtual RealityCognitionCurriculumEducational MeasurementFemaleHumansMaleProspective StudiesYoung AdultAnatomy EducationCognitive WorkloadImmersive LearningKnowledge RetentionMedical Education TechnologyPresenceSimulation-Based EducationVirtual Reality

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.